Multiple Chronic Conditions Among Veterans and Nonveterans: United States, 2015-2018.

Q2 Medicine National health statistics reports Pub Date : 2021-02-01
Peter Boersma, Robin A Cohen, Carla E Zelaya, Ernest Moy
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Abstract

Objectives-This report describes the prevalence of multiple (two or more) chronic conditions (MCC) among veterans and nonveterans and examines whether differences by veteran status may be explained by differences in sociodemographic composition, smoking behavior, and weight status based on body mass index. Methods-Data from the 2015-2018 National Health Interview Survey were used to estimate the prevalence of MCC among adults aged 25 and over by veteran status and sex. Estimates (age-stratified and age-adjusted) were also presented by race and Hispanic origin, educational attainment, poverty status, smoking status, and weight status. Multivariate logistic regression models examined the odds of MCC by veteran status after age stratification (65 and over or under 65) and further adjustment for age and other covariates. Results-Among adults aged 25 and over, age-adjusted prevalence of MCC was higher among veterans compared with nonveterans for both men and women (22.2% compared with 17.0% for men aged 25-64, 66.9% compared with 61.9% for men aged 65 and over, 25.4% compared with 19.6% among women aged 25-64, and 74.1% compared with 61.8% among women aged 65 and over). Following stratification by age and adjustment for selected sociodemographic characteristics, the prevalence of MCC remained higher among veterans compared with nonveterans for both men and women. After further adjustment for smoking status and weight status, differences in the prevalence of MCC by veteran status were reduced but remained statistically significant, with the exception of men aged 65 and over.

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退伍军人和非退伍军人的多种慢性病:美国,2015-2018。
目的:本报告描述了退伍军人和非退伍军人中多种(两种或两种以上)慢性疾病(MCC)的患病率,并研究了退伍军人身份的差异是否可以用社会人口统计学组成、吸烟行为和基于体重指数的体重状况的差异来解释。方法:使用2015-2018年全国健康访谈调查的数据,按退伍军人身份和性别估计25岁及以上成年人MCC的患病率。估计(年龄分层和年龄调整)也根据种族和西班牙裔、受教育程度、贫困状况、吸烟状况和体重状况提出。多变量logistic回归模型检验了年龄分层后(65岁及65岁以上或65岁以下)退伍军人身份患MCC的几率,并进一步调整了年龄和其他协变量。结果:在25岁及以上的成年人中,退伍军人年龄调整后的MCC患病率男性和女性均高于非退伍军人(25-64岁男性22.2%比17.0%,65岁及以上男性66.9%比61.9%,25-64岁女性25.4%比19.6%,65岁及以上女性74.1%比61.8%)。根据年龄和选定的社会人口特征进行分层后,退伍军人中MCC的患病率仍然高于非退伍军人,无论男女。在进一步调整吸烟状况和体重状况后,退伍军人身份的MCC患病率差异减小,但除65岁及以上男性外,仍具有统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
National health statistics reports
National health statistics reports Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.50
自引率
0.00%
发文量
13
期刊介绍: Notice: Effective January 2008 the title, National Health Statistics Reports (NHSR), replaces Advance Data from Vital and Health Statistics (AD). NHSRs will be numbered sequentially beginning with 1. The last AD report number is 395. These reports provide annual data summaries, present analyses of health topics, or present new information on methods or measurement issues.
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